Please complete this survey if you would like to propose a presentation for the ISN 3rd Annual Conference on School Innovation April 29 (pre-conference), April 30, May 1, 2015, in Wisconsin Dells, WI.

Deadline for submission of proposals is February 28th, 2015.

IMPORTANT: Presenters MUST pre-register for the conference and will be offered partner prices for the conference. Unfortunately, there will be no complimentary admissions for presenters.

Survey submission is not a guarantee of a session. We will contact you with questions or confirmation no later than May 15th, 2015.

If you have more than one proposal, please complete multiple surveys.

Please contact Sue@InnovativeSchoolsNetwork.com with questions regarding your proposal.

ISN Mission:
A grassroots network of educators creating and nurturing innovative schools by supporting each other in developing high quality, research based resources and strategies for both educators and students.

ISN Vision:
Supporting the development of innovative schools. Sustaining and growing innovation through a statewide network dedicated to continuous improvement. Educators collaborating and changing to better serve students.

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1. Title of Workshop or Session

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2. Length of Session: Select ALL you would be interested in.

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3. Which day would you PREFER to have your workshop? (We cannot guarantee that your preference can be met.)

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4. Focus Areas of Your Session

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5. This session is appropriate for:

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6. In no more than 75 words, please describe your conference session as you would like it to appear in the conference brochure.

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7. What type of format will you primarily be utilizing for your conference session?

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8. Please include a professional biography here for EACH presenter who will be included (no more than 75 words per presenter).

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9. Please complete and list the following information for EACH PRESENTER in your proposed presentation EXACTLY as you would like it to appear in the conference program (name, title, school/company will be included in the program):

1. First and Last Name
2. Title
3. School or Company
4. City and State of School or Company
5. Preferred Email
6. Home Address, City, State, Zip Code
7. Preferred Telephone

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10. It is okay for you to list my email as listed above in the conference brochure.

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11. Questions/comments:

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